HomeMy WebLinkAbout1619 E 5th St - BuildingPREPARED 8/25/11 9 18 31 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/25/11
ADDRESS 1619 E 5TH ST SUBDIV
TENANT NBR LOREN TANYA ENGEL
CONTRACTOR TRU FLOW SYSTEMS PHONE (360) 452 6983
OWNER LOREN R TANYA M ENGEL PHONE (360) 457 4027
PARCEL 06 30 00 0 1 8370 0000
APPL NUMBER 11 00000927 PLUMBING PERMIT
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL6 01 8/25/11 TL
PL99 01 8/25/11
PLUMBING WATER SUPPLY TIME 04 00
August 25 2011 9 15 27 AM 1pangrle
CHRIS 460 5721
WATER SUPPLY LINE FROM METER TO HOUSE
PLEASE INSPECT FROM 4 00 5 00 PM
PLUMBING FINAL TIME 04 00
August 25 2011 9 17 47 AM 1pangrle
CHRIS 460 5721
PLUMBING FINAL WATER SUPPLY LINE FROM METER TO HOUSE
PLEASE INSPECT FROM 4 00 5 00 PM
COMMENTS AND NOTES
r e gi Nu m.o. k „er,
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
WATER LINE BETWEEN METER HOME
Owner
LOREN R TANYA M ENGEL
1619 E 5TH ST
PORT ANGELES
(360) 457 4027
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00
Fee summary
7 0000 EA
T.Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
WA 983624809
PLUMBING PERMIT
WATER SUPPLY LINE
191692
57 00
8/25/11
2/21/12
11 00000927
921999
1619 E 5TH ST
06 30 00 0 1 8370 0000
LOREN TANYA ENGEL
PLUMBING PERMIT
RS7 RESDNTL SINGLE FAMILY
500
Per
BASE FEE
PL -WATER LINE
Contractor
TRU FLOW SYSTEMS
1551 E MESA VIEW LN
PORT ANGELES
(360) 452 6983
Charged Paid Credited
Permit Fee Total 57 00 57 00 00
Plan Check Total 00 00 00
Grand Total 57 00 57 00 00
Date 8/25/11
WA 98362
Plan Check Fee 00
Valuation 0
Due
Extension
50 00
7 00
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
16-26-0 CAArb AF u
r
Print Name Signature of Contractor or Authorized Agent
Date Signature of Owner (if owner is builder)
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall I Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing I Slab
Blocking Hold Downs
Skirting
T c era it {inn n. iisinn /Ruildina Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 4174831 Backflow Prevention Inspections 4174886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
—Z It
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting ESA.
Landscaping SHORELINE.
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
c t
FINAL Date U 2 J 1 Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
T+ SK y F✓v�
Applicant Loc E.t.) t�. q- A�a� &A.E ►.)6F
Property Owner nra F cAg F
Property Owner's Address Ze/c, ,E
Contractor �'r,n
Contractor's Address M E S A 111 i l ►v.
License E rt
PROJECT ADDRESS
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
l Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Site Coverage the amount of impervious
and other impervious surfaces (see PAMC
Max. height of proposed structures
Will a lawn sprinkler system be inst d?
Will a fire sprinkler system be ins ed?
I have read and completed this application and know it to be true
that it is my responsibility to determine what permits are required,
Date 2 Print Name C 4115 /7F,uDte/_
T:Forms /Building Division /Building permit application
Expires 2312 E -mail
A esidential Multi- family
Wa r- s I'` h bQ:+0,3eQ4-, \4014/2,0403
House garage other tear off re -roof lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
Existina (sq. ft.) Posed (sq. ft.)
sq
Occup
Occ
Lot size
on a parcel including str
94 135 for exemptions
cy group
ant load
nstruction type
For City Use Only
Date Received 5.11
Permit# ire A 2.i
Date Approved
Phone 36„0- LI (,O i
Phone
Phone
Lot Zoning
Commercial Industrial
per sq ft.
TOTAL VALUATION
sq ft.
ures paved driveways
Site co •r
•f bedrooms
of full baths
of half baths
J
elks, patios
and correct. I am authorized to apply for this permit and understand
and to obtain permits prior to working on projects.
Signature
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
4 ton heat pump Like and Kind
Owner
LOREN R TANYA M ENGEL
1619 E 5TH ST
PORT ANGELES
(360) 457 4027
Permit
Additional desc
Permit pin number 178772
Permit Fee 56 00
Issue Date 12/14/10
Expiration Date 6/12/11
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983624809
10 00001444
329572
1619 E 5TH ST
06 30 00 0 1 8370
ELECTRICAL ONLY
ELECTRICAL HEATPUMP
Qty Unit Charge Per
1 00 56 0000 ECH EL LVT THERMOSTAT
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Contractor
Charged Paid Credited
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES
(360) 452 9813
Special Notes and Comments
December 13 2010 4 22 04 PM Bob Larson 360 417 4706
Permit approved based on NO LOAD CHANGE provided on
Electrical Information Form submitted with the Electrical
Permit Application
56 00 56 00 00
00 00 00
56 00 56 00 00
DATE.
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Plan Check Fee
Valuation
Date 12/14/10
REPORT STATE SALES TAX
0000 on your excise tax form
to the City of Port Angeles
(Location Code 0502)
WA 98362
qS 2 511
Due
RESULTS
00
00
00
00
0
Extension
56 00
INSPECTOR.
Date.
City of Port Angeles Permit Application
Building DlvlslonlElectrlcal Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 96362
Ph: (360) 417.4735 Fax: (360) 4174711
Date: I2 Cpl \j a
�1 2 Single Family Dwelling
Multi Family or Commercial'
Commercial Addition Alteration Remodel /Repair
Owner I ati on
Name: b lI
Mani Address: IrLargil iII la
City. 1,6 L/2 %e, State: lip, Zip: n-W
Phone: 1 Fax:
License #1 Exp.
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
8625
$116.25
$13125
75.00
69.00
75.00
50.00
50.00
93,75
80.00
86.25
27.50
57.50
86.25
43.75
V0 /E0 3JVd
I
Signature of owner, electrical connector or electrical administrator
Tgtal.(Oty Mullioned by Unit Charge]
Service /Feeder 200 Amp.
ServlcelFeeder 201 -400 Amp.
Service/Feeder401 -600 Amp.
Service /Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201.400 Amp.
Temp. Service/Feeder 401 -600 Amp.
Temp. Service /Feeder 601 -1000 Amp.
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi- Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
yif/ b Thermostat
0 .�T Total
EENI1v3H el3H1v3M liv
Cash
Check
,Credit Card IS
RECEIVED
DEC 10 2010
ELECTRICAL
INSPECTIONS
Y I
g, Q
fr.A! .Oh State:
Plan Review. a Req ice e C a pie Alec I Ian yew Info ation Sh
Job Address: 011
Building Square Footage:
I: cri,L'on of above A I IA LO DI J sII_
I 41101121411,D1
Contra In
Name a t
Main. Address:
City: Lk_
Phone:
License p
z,
2112) 1
•IIb)111
Owner as defined by RCW.19.28.261' (1) Owner will occupy the structure for two years after this electrical permit Is finalised. (2) Owner Is required to hire an
electrical contractor if above said property Is for sale, renter lease.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical
installation or alteration In compliance with the electrical laws, N.E.C. RCW. Chapter 19.28. WAC. Chapter 296.3613, The City of Port Angeles Municipal Code, and
Utility Specifications.
LLTSZSU09ET 0i ST 0T0Z /60 /ZT
PREPARED 1/05/11 8 54 56 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/05/11
ADDRESS 1619 E 5TH ST SUBDIV
TENANT NBR LOREN AND TANYA ENGEL
CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813
OWNER LOREN R TANYA M ENGEL PHONE (360) 457 4027
PARCEL 06 30 00 0 1 8370 0000
APPL NUMBER 10 00001442 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01
1/05/11 JLL
MECHANICAL FINAL TIME 09 00
January 4 2011 8 32 56 AM 1pangrle
TONYA 457 4027
MECHANICAL FINAL HEAT PUMP
PLEASE INSPECT BETWEEN 9 00 AM NOON
COMMENTS AND NOTES
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
outside outlet
Owner
ENGEL LOREN R /TANYA M
1619 E 5TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983624809
ELECTRICAL ALTER RESIDENTIAL
178707
73 50
12/10/10
6/08/11
Charged
73 50
00
73 50
Signature of owner or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
10 00001439
625089
1619 E 5TH ST
06 30 00 0 1 8370 0000
ELECTRICAL ONLY
Paid
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
73 50
00
73 50
DATE.
12Iir-)I
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Plan Check Fee
Valuation
Credited
00
00
00
Date 12/10/10
WA 98363
Due
RESULTS
00
0
Extension
73 50
00
00
00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR.
TAP
vreo
Date.
Application Number 10 00001442
Application pin number 214544
Property Address 1619 E 5TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 1 8370 0000
Tenant nbr name LOREN AND TANYA ENGEL
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 9931
Application desc
HEAT PUMP INSTALLATION
Owner
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
LOREN R TANYA M ENGEL
1619 E 5TH ST
PORT ANGELES
(360) 457 4027
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP INSTALLATION
Permit pin number 178749
Permit Fee 64 80
Issue Date 12/09/10
Expiration Date 6/07/11
Qty Unit Charge
1 00 14 8000 EA
Per
Fee summary Charged
Permit Fee Total 64 80
Plan Check Total 00
Grand Total 64 80
T Forms /Building Division /Building Permit
WA 983624809
Contractor
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited Due
64 80
00
64 80
00
00
00
Date 12/09/10
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Plan Check Fee 00
Valuation 0
7
Extension
50 00
14 80
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
Inspection Type
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Date Accepted By
FINAL Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
T:Forms /Building Division /Building Permit
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Comments
1 d Accepted by P
Date Accepted By
b0/t20 39Cd
XRemodell
o Repair
o Demolition
o Re -roof
q}leat System
Q Other
Date iO Print Name J
T:Forms/Bullding Division/Bldg Permlldoc
BUILDING PERMIT APPLIGA
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant 411 Ac{,hn i'
Property Owner n 'u it ell
Property Owner's ddress t aii r u
Contractor t, l.d_ 4 0, rdiTI''
Contractor's Address i n e
License Expires s
Floor Areas Existlnq (sq. ft.) proposed (so. ft.)
Basement
1` Floor
2 Floor
3'" Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will afire sprinkler system be installed? Construction type
9NIIC3H a3H1C3M 11t
PROJECT ADDRESS )Lo)Q F084- 5th
Parcel Number Lot
Pro ect Type Brief Description. )esidential o Multi-family
Cck all that o N ew Cons A.Vrt.V Run i 0 ,(4c;11' t4 •J
a Addition
,4t Signature
Phone
Phone
Phone
E-mail
TION Print in ink
For City Use Only
Date Received )2- 9,-10
Permit 10 i Z
Date Approved
S
613D HE) Gt,E
0.0
Zoning
o Commercial o Industrial
Carew
o House a garage o other a tear off re -roof a lay over one layer
Heat pump a wood burning stove a gas fireplace a pellet stove o other
per sq. ft.
of bedrooms
of full baths
of half baths
TOTAL V A L U A T I O N CC 5 La i
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that It is my responsibility to determine whet permits are required, and to obtain permits prior to vv o ing on projects.
LLTSZSb09ET 0T ST 0T0Z /60 /ZT
Clallam County Assessor Treasurer Property Details 57483 LOREN R AND TANY Page 1 of 6
Clallam County Assessor Treasurer
Property Search Results 57483 LOREN R AND TANYA M ENGEL for Year 2011 2012
Property
Account
Property ID'
Amount Due if Paid on. El.
57483
Geographic ID 0630000183700000
Type. Real
Legal Description LTS 14 &15 BL 183
32A) SUR V41 P92
Agent Code
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space. N DFL N
Historic Property N Remodel Property N
Multi Family Redevelopment: N
Township Section. n
Range
Location p
Address. 1619 E FIFTH ST Mapsco
PORT ANGELES WA
Neighborhood. Cycle 5 Res Map ID 2 \v Cc\\
Neighborhood CD 10955130
Owner
Name. LOREN R AND TANYA M ENGEL Owner ID 23354
Mailing Address. 1619 E 5TH ST Ownership 100 0000000000%
PORT ANGELES WA 98362 -4809
Taxes and Assessment Details
Property Tax Information as of 12/09/2010
Exemptions:
NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due.
I j First Second i
1 Half Half I
Base Base
Year Statement ID j Taxing Jurisdiction Amt. Amt. Penalty l Interest; Base Paid
i 2010 40477 ST SCH STATE SCHOOL $401.28$401.29 $0 00 $0 00 $802.57
2010 40477 CC -GEN COUNTY CLALLAM 54 $213 55 $0 00 $0 00 $427 09
E 2010 404 77 PORT PORT OF PORT ANGELES $30 02 $30 01 $0 00 $0 00 $60 03
2010 40477 PORT ANG CITY OF PORT ANGELES $494 44 $494 43 $0 00 $0 00 $988 87
2010 40477 SD #121 SCHOOL DISTRICT #121 $519 77 $519 77 $0 00 $0 00 $1039 54
2010 40477 NTH OLY LIB NORTH OLYMPIC LIBRARY $62.06 $62.05 $0 00 $0 00 $124 11
2010 40477 H_OSP_ #2 HOSPITAL #2 $87 60 $87 61 $0 00 $0 00 $175.21
2010 40477 WSMET P K DIST WILLIAM SH_ ORE_ MET PARK DIST $27 88 $27 87 $0 00 $0 00 $55 75
2010 40477 CITY ST_ORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00
2010 40477 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63
j 2010 40477 TOTAL. $1873.41 $1873.39 $0.00 $0.00 $3746.80
2009 574832008 ST SCH STATE SCHOOL $461 07 $461 07 $0 00 $0 00 $922 14
2009 574832008 CC -GEN COUNTY CLALLAM $233 34 $233 34 $0 00 $0 00 $466 68
2009 574832008 PORT PORT_ OF PORT ANGELES $33 05 $33 06 $0 00 $0 00 __$66 11
2009 574832008 PORT ANG CITY OF PORT ANGELES $511 81 $511 83 $0 00 $0 00 $1023 64
2009 574832008 SD #121 SCHOOL DISTRICT #121 $570.20 $570 19 $0 00 $0 $1140 39
http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?ctd =0 &year =2011 &prop_id =57 12/9/2010
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: d 0
.4 1 2 Single Family Dwelling
Plan Review May Be Required, Please Complete, pctrical Plan Review Information Sheet
Job Address: 6
Building !gyp i
oesciipuonorabove /�d u'i'1 ..P
Owner Info atlon
Name: u+,p e-ff, 4/e- r
Mailing Ad 1 /6/ C.,
City: 4State:C,(, Zip: 1
Phone: 5 Fax:
License Exp,
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp,
Service /Feeder 401 -600 Amp
Service /Feeder 601 -1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201.400 Amp.
Temp. Service/Feeder 401 -600 Amp.
Temp. Service/Feeder 601 -1000 Amp
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ limited Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
-Each Swimming Pool or Hot Tub
Multi Family or Commercial* Commercial Addition Alteration Remodel Repair*
Unit Charge
119,90
145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
110.30
148.70
167.90
95.90
88.20
95.90
63.90
63.90
119.90
$102.30
56.00
110.30
35.20
73.50
110.30
Sign aRart{ of owner, electrical o tractor or electrical administrator
Dat �a /Z
ciq
RECEVE
DEC 9 2010
ELECTRICAL
INSPECTIONS
nformation
Contrac
Name:
Name:
Mailing Alp re a
City' J 1�1 State
Phone _L. Fax•
License* Exp.
wn
rr
r e,
Zip;
O Cash n Check
Credit Card 4l
Total (4DI Multiplied by Unit Chanel
5
01101/2010
2.1
OfirisiN
o►•,e•—
01 111010
17 3
Q Total
9
Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection 1.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical a ntractor I am making
the electrical installation or alteration In compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC Chapter 296. 46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
<1. 90RT :!+o_
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Laserea
CED
Applicatlon Number
Appllcatlon pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Applicatlon type descrlptlon
Subdivision Name
Property Use
Property Zoning
Application valuatlon
06-00001061 Date
653289
1619 E 5TH ST
06-30-00-0-1-8370-0000-
INGLE RES.
RE-ROOF
9/27/06
RS7 RESDNTL SINGLE FAMILY
10075
MN~-
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Owner
Contractor
ENGEL LOREN R/TANYA M
1619 E 5TH ST
PORT ANGELES WA 983624809
REDI-CONSTRUCTION
1032 E. 4TH
PORT ANGELES
(360) 452-4582
WA 98362
Permit . . . . .
Addltlonal desc .
Permlt pln number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
87809
221.75
9/27/06
3/26/07
Plan Check Fee
Valuation
.00
10075
Qty Unlt Charge Per
Extension
95.75
126.00
BASE FEE
9.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Pald Credlted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 221.75 221. 75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 226.25 226.25 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced Within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
. inspection. I hereby-certify that..J.l"tave read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give autho' to violate or cancel the provisions of any state or local law regulating construction or the performance of
construct! n.
Date
Signature of Owner (if owner is builder)
Date
T \Pohcles\1102_15 bUildIng penmt InspectIOn record05 wpd [1/4/2005]
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BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
.'
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION: . .
. . ,>
. .FOOTINGS . .
. ,
SHEAR WALLS / WALLS
FOUNDA nON DRAINAGE / DOWN SPOUTS
o PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
M~HANICAL
HEAT PUMP / FURNACE / DUCTS
. GAs LINE
. WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
rooTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING -
PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA:
PARKING/LIGHTING ESk
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W. I PW I CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 J n/.., 1_ ~ IJ-: PLANNING DEPT
BUILDING 417-4815 IV; r~vV<' VVV BUILDING
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T \Pohcles\1102_15 bUlldmg permIt inspection record05 wpd [1/4/2005]
PREPARED 10/03/06, 9'39 01
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
10
10/03/06
ADDRESS
TENANT, NBR.
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1619 E 5TH ST
INGLE RES.
REDI-CONSTRUCTION
ENGEL LOREN R/TANYA M
06-30-00-0-1-8370-0000-
06-00001061 RE-ROOF
SUBDIV
PHONE
PHONE
(360) 452.4582
Lasered
CEO
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01
10/03/06
f(
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BUILDING FINAL
RANDY 460-9491
10/02/2006 01 53 PM PERMITS ----------------------.-----
------------.------------------------- COMMENTS AND NOTES -----------.--------------------------
--"'---------~~- -
Jropo~ar
N_~" _ ___
Page # -------,,--- --of---~---- pages --..........
Lasered
CEO
Proposal Submitted To' -r-
I {,.u)v'Hf!~ -t
Address "" ( ,
I C I [1 1.:
7
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Job Name ;'J /) ,"-'
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Job Location
__ <:::; ;-::Jrr.....1..
Job #
<::..J
...,1
Phone #
It \"., Ij ,r:p, /' r/7 j
~ ...>iv1.~~,(}&,tJ,.. 'A ;J' \ 4)'.. lb .
If Fax #
'-f is ", -. '-ir)L 7
Date
Date of Plans
We hereby submit specifications and estimates for: - -.----- -- - ---- - ------- -- ---t---"" ---------- ------ --- ---------- --- --------------------- --------
_m m_~_m7----u~--~-~d~-/_J~~ ~~SQ'T'L ----- -
_______._ ..__ ___ _____=-_1~J/ ~.(;~.J4L--. ____{~4:tM'~------{'~uJ----jl/QL!'----..J)Il~.4k. ---------- --::-------
C; - .... t'; if # 'II
___h2J..~-(.~--------------------- ------ ----- -.-- ------ -- .--------------------- --------- ----------------.--- --- ---------------
____~f-.~----------------------- -- --.---------.-------- - -- ---- --- -------------------------------- ---- ---.
3 ,- .... ."i l' / ! I I'
_ .':2Q1>- ~7-d:--1------- ___ _______..2.___E~1:._~L __ ~}t-=----!..:.-..-.k,(~~7'L-'L- /~""A.~L..- ;; /-f~,;U~~-~~-~-----------
======~==-~i:::;.~~~~=-===--=--==--=
____&.:~"!.~--.--~--5p-T-K---- _.s.d:5~----(64~----------. -.
, ,', j -.l j G.J ;f
_ ___________________ _____ _________ __' _..lL-\.)L,:.....--.1<:~..eJ.....;",~~.,g...-..---- -----.-.---.--------- ----------------------- -- -
_:------ __ ______'- 31-02<- j;LJ".2,-~~ __I&-!~~'j ..1,1)
~=~--==~:== =~_~~--:::;J:{=----~~'-~-=~ -:--
ll:-~'-------.- J~ ~-j4:L--4{<..;4--~~~
~t'tliCl~~~C _l1<1' _wol!J<",^,"",.$B ;<}- - - - m_- m_____ - .
"p ______--1l~~..-.1- ~%..- ..,- - --------- ------ - -' -- ....----- -....I--- . ",,-. ----. --,,- ---
We propose hereby to furnlsh>material and labor - complete in accordance with the above specifications for the sum of.
d:) e,
$ ~ 7S - + i(, r J.k r;
with payments to be made as follows'
Dollars
Cr
Any alterallon or devlallon from above specifications involving extra costs will be
executed only upon written order, and Will become an extra charge over and
above the estimate All agreements conlingent upon strikes, aCCidents, or delays
beyond our control
days
~cceptance of ~roposal
The above prices, specifications and condllions are satisfactory and are
hereby accepted You are authorized to do the work as specllied.
Payments Will be made as outlined above.
Date of Acceptance
Signature
Signature
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CEO
BUILDING PERMIT - APPLICATION
Fill om COMPLETELY and ill INK. Your applIcatIOn and sIte plan MUST BE
COMPLETE to be accepted for reVIew. If you have any questions. call
PERMITS (360) 417-4815 FAX(360)417-4711
ApplIcan1 or Agent geDl-Can.s,~cH-X) Phone ?fr:;2-QS92-
Owner ~ ~ 7O.w~(/t Xf/l sit' Phone. L;'s-)- 4DZ 7
Address. I ~ /9 E ,s -r{.f- CIty. ~ P ~ ZIp: 7f;5C, 2-
ArchItect/Engmeer
Contractor !Z J / - ~5 ~
Address' P. V, gD}C 3 l7 9
PROJECT lillDRESS: I ~ I 9 e
LEGAL DESCRIPTION, Lot
CLALLAM COUNTY PARCEL NUMBER:
Phone
State LIcense #. I2CD;"c H as- ~nI1xp: LcvS?'\"Phone'
CIty: f? 14 t~ ZIp' c;g5 G 2-
5 f-tt: ZONING:
Block
SubdivISIOn'
TYPE OF WORK: ~
o Resldentlal 0 New Constr. e-roof 0 Stove
o Mulu-family 0 Addl110n 0 MoveD Garage
o Corrunercral D Remodel 0 DemohtlOn D Deck
o Reparr D SIgn 0 Other
BRIEF DESCRIPTION OF THE PROJECT ~
SIZENALUATION:
SF @ $ /SF. = $
SF. @ $ ISF = $
SF. @ $ /SF. = $
TOTAL VALUATIO~ $ I~ CJ,S
COMMERCLUIRESIDENTVU..: Occupancy Group
Occupant Load.
& Proposed Sq Ft
CorumuctlOn Type
No of Stones: Lot SIZe'
Total lot coverage
EXlstmg Sq Ft
= TOTAL Sq Ft
%
ESAlWetland(s)' DYes 0 No SEPA Checklistrequrred? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the apphcant
ThIs figure wIll be reVIewed and may be reVIsed by the Buildmg DlvislOn to comply with current fee schedules Contact the Permit
Coordmator at 417 -4815 for assIstance
PLAN CHECK FEE: IF a plan check fee IS due It must be subnntted at the tlllle the buildmg permit apphcatlOn and constructlOn plans are
subnntted. All other permIt fees are due at the tlllle of permIt issuance.
EXPffiATION OF PLAN REVIEW: Ifno penmt IS Issued wltlun 180 days of the date of apphcatlOn, the application will expire. The
Buildmg OffiCial can extend the tlllle for action by the apphcant up to 180 days upon wntten request by the apphcant (see Section
Rl05.32 of the International BuildinglResidential Code, 2003). No apphcatlOn can be extended more than once
.
I hereby ceriJfy that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
T:\FORMS\BldgPerrmtform wpd Applicant" ~~u,,/! f~ '\ Date: 9-..2 7-tJ6
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
537"")
ELECTRICAL PERMIT
DATE /-.., - "':> (p
Site Address: / (p t "') r,prH ~T. o READY FOR o WILL CALL FOR
e. INSPECTION INSPECTION
Installed By: A. A I license Number: Phone:
eta - IEtE-
owner/Bus~e./Z.r;;5 T 5'Mtv\oN? Phone:
.
Owner/Business Address: Sq. Ft.
$A-MG
ELECTRIC HEAT
o BASEBOARD KW ~
]j(J FURNACE KW ~
%- HEAT PUMP KW ~
o FAN/WALL KW ~
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUN9 SERVICE
VOLTAGE: /b/0ID
PqS D3~
SERVICE SIZE c:>2l9O
FEEDER SIZE
AMPS
AMPS
Details/Description:
q- -rON
f-feA-T fZMP hAv)
.
/s-J:0 -1:~~.
p~ czff ~. A~~ k
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~ ~Final O.K.
Sile Add7~ sA
New Meters
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on eitherthe Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
~
Eleclricallnspeclor
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
#30
Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
B 5'1
PERMIT NUMBER
.
TOTAL FEE.. )J~ . , {{OS.
\, ,\. CONT.'L!C. NO. ... c TIME TOCOM~LETE . ~6. STORIES LEGAL OCCUPAN.CY~
. , .
Owner
Owner's Address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
~" . ",... '
C-
OGRESS IS AESPONSIBILlTY OF APPLICANT PERMITS WITH WRONG AD
InstallCl:t~on By
In"stallers Address
.' '
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Installers'Phone . ,\
Day Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
. Hmi: eJf ?A-S' Af~r1 Sl)./lhI
A.rf'" -/II) ~
~A
,f
(,Vr L L
Wiring Method
USE OF CIRCUIT
FEE -
LIGHT
LIGHT
CONVENIENCE
CONVENIENCE
APPLIANCE
DISHWASHER
DISPOSAL
.- RANGE
OVEN
WATER HEATER
LAUNDRY
DRYER
FURNACE
GAS - OIL
FURNACE
ELECTRIC
ELECTRIC HEAT
ELECTRIC HEAT
A.G. UNIT
FE:EDER
SERVICE
NUMBER
CIRCUITS
AMP
PER
CIR
FEE
240V
100R
30
AMP
PER
CIR
240V
100R
30
120V
10
NUMBER
CIRCUITS
120V
10
USE OF CIRCUIT
SIGN
/IL)SD 4/"1/? r: t-t....~ ~S! ,.,,,J r4Ll /0 ~
I F;) Pc> "u.LI' (tv 11 c. '/-f. 1 I 'J It. (j ~
'7lr) A p (tA-.J ~/h tJ .lAO:'4R 47 r/Jf1. I-n-.
: 1,,'MtJ.s tJ !J~c 61r I MOTOR I'
-"
, I r FIRE ALARMS .A /' I.......,
BURGLAR ALARM C?'-(P''-
MISC.
REINSTALLATION LIGHT FIXTURE #
SUB TO:TAL FEE
ENERGY FEE
BASIC FEE
TOTAL FEE
SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
AMP
SIZE OF SERVICE ENTRANCE CONDUCTORS
PHASE
I
I SUB. TOTAL"
A.W.G.
SIZE OF GROUND
SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.I;..C. Electrical Code.
By >C'l'? b
CONTRACTOR OR OWNER (OR AU.THORlZED AGENT)
Permission is hereby 9!Ven to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of. t e ity of Port Angeles,
'" ....".. . 01 TO F
Date Application made
.
Date Permit Issued
II
WARNING
OLYMPIC PRINTERS, INC.
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10f-PI
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By
PLANS A ROVED 1 ; . : I ~i
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O,K. tor covering or service has been given by Inspector in
Writing on Permit Placard. A,. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
, .
/r; I /.. ' /jjir ~Jfu! 71 f/I" - ~D -ct A..f tv~ ,(. s: ...;..,
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ro !'2.q (tl. i~\, ~, O.K. TO CONNECT SERVICE
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15159
.7-.;;;, )y
Port Angeles, Wash1ngton________________________~_____________________________________, 19________
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address ---.lflX;-fL2~-tt.:----------------------------------------------- Occupancy_____.Lt...?-_-6?-____________________________
~:,,,,'~
~::: ~-~~~~;2J~::~~:~:~::~:::f.:~1?n~;:::::::::::::---------~::::::::::~::::::::::::::::::::::::::::~:::::::::
Ie} u /J? ,/0
Service. volts ........::.............m.............
No. wires ......."l....................~........
t.J/{) o>V
Size wires....../~::......................
Main fnse ________~f?C5.__IJ.______._
Enclosure .......?.............,.............
? U
Light Outlets............:?...........................
Receptacle .outlets.......f,.-q...............
Drye" KWI__________nf_n_.nn_n__n____n_____
/~-
...L
Range, KW......................
Water Heater:
KWn___... n_n'l~:~ _...nn... __nn
:::~:~:;:~:;~i:i::J!Y-
______L(A~~l_,_~""._._____
____/__.__-&~,k,~_:cq________
-- /'
Total Load__......................___..
Type of wIring-:
Entrance Cable .............................
Rigid Conduit .......m.....................
Metallic TUbing ............m............
Current transformers:
No. & Size.......................................
Ser. NO........n....................................
Ser. No...............................................
Ser. No..................._..........................
Ser. No..............................................
Type of Wiring:
Armored Cable .............................
Non':l\IetaUic .................................
Knob & Tube.................................
Rigid Conduit ...............................
MetalUc Tubing ...........................
Circ~::.e:~h~..~~....L~~~~~....~~~~~~~......~~~~~~~~~.
. Utility ___n.$:'.._____________________nnn
;::2
Heat ..... ........:...............................
Range .......?:-:................................
;l
Water Heater .....~.........................
Motor .............................................
Ilry".______~____n__._n_____mn___nnn__.____
F u rn~:t~~.........?7..~...........~~~~~~~:::::~~~..~-..
Remarks: ______,.<::1"-_.€."'~__=,,________~)_?-:~~t,.,.:_.__.____________________________________________n_________________________________________
hn__h.n_nunn.nn_nn_n_n_un__nu.n..__.____.nnn.nn_....._n_nnu_hnn.n..nnnn_U.n....nn..nn.nu.Un.n....n..n__nu.hu..hU.U"un
'U.nUU..nnnnnnnnnnn..n..nn...n.unnUUhnn..n.nnnnnnnnnHUnUnnnnnnn.hUnn.nnn.nn...nnnn.n.nndUhnn.unnnnnn
Permit Fee, Treas. Receipt ,::# ':i! ~ fl ~
$_______.__?_~_-?__~____n________. NO______m_____m____________ By ___//.__:__;;___~_______m__~___':~_?______~_~_'""__
NOTICE-Current must not be turn!3d on until Certificate of Inspection has been issued. If work Is to be con.
cealed due notice must he given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY' PERMIT NUMBER WHEN READY FOR INSPECTION
f) I 1r:.--"/1A'..d~Si A~,
ELECTRICAL PERMIT
N?
15159
,(",tJ r? .fd
Date called forc;j;ctlim;0t~~::~~~---nnn_-m-----nnn------nnn nn_n__n_n_ _______n___n____m_______ __mn_______n_m_____ n
~::;~::::yc~::~:t:::--~~(~~:l~~0:::~~~;;:::::::::-:::::-:::::-:::::::::::::::_::_::-:"::::::::::::::::::::::::::::::~::::::-:::::::::::=:::::::::~:::::::~
r--- --
i Total Load .......................................................................................... ................................... ................................................................._......_
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